Organization
SUNRISE HOSPITALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKESWARAN SEENIVASAGAM M.D. (OWNER)
(915) 276-7560
Entity
Organization
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 595-9000
Mailing address
12253 MARBLE GATE WAY, EL PASO, TX 79936-8611
(915) 276-7560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9411
STATE LICENSE
TX
Enumeration date
11/15/2019
Last updated
11/15/2019
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